| NPI | 1619486461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10436) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29493) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2021-09-30 |